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Theodora Anna Squire
Student in an Organized Health Care Education/Training Program in Glen Allen, Virginia
NPI 1417591660

Theodora Anna Squire is a Student in an Organized Health Care Education/Training Program based in Glen Allen, VA. Theodora Anna Squire practices in Glen Allen, VA. The NPI Number for Theodora Anna Squire is 1417591660 and holds a License No. (Virginia).

The current practice location address for Theodora Anna Squire is 2151 Old Brick Rd, Glen Allen, VA and can be reached out via phone at 703-850-8981.

Location: 2151 Old Brick Rd, Glen Allen, VA, 23060-5837
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417591660
Provider Name
Theodora Anna Squire
Credential
Provider Entity Type
Individual
Gender
Female
Address
2151 Old Brick Rd, Glen Allen, VA, 23060-5837
Phone Number
703-850-8981
Fax Number
Provider Enumeration Date
10/31/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2151 Old Brick Rd
City
Glen Allen
State
Virginia
Zip
23060-5837
Phone Number
703-850-8981
Fax Number
person
Provider Business Mailing Address Details
Address
2151 Old Brick Rd
City
Glen Allen
State
Virginia
Zip
23060-5837
Phone Number
703-850-8981
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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